Active NPI
Walter J Griffiths, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Brattleboro, VT
National Provider Identifier
1962432880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 042.000528
- Practice address
- 187 Oak Grove Ave
Brattleboro, VT 05301-6642 - Phone
- (802) 257-0307
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 042-0005283 | VT | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 042.000528 | VT | Primary |
Addresses
Primary practice location
187 Oak Grove Ave
Brattleboro, VT 05301-6642
Mailing address
15 Hapgood St
Bellows Falls, VT 05101-1507
Phone (802) 275-8734
Other practice location 1
15 Hapgood St
Bellows Falls, VT 05101-1507
Phone (802) 275-8734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004538 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080613000255 | VT | Practitioner - Family Practice | 5799856092 | Practice locations: Bellows Falls, VT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0005283 | VT | MD | Geriatric Medicine (Family Medicine) Physician |
| 042.000528 | VT | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients |
Interoperability endpoints
- walter.griffiths.1@3744.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618617600000",
"number": "1962432880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HAPGOOD ST",
"city": "BELLOWS FALLS",
"state": "VT",
"postal_code": "051011507",
"telephone_number": "802-275-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 OAK GROVE AVE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016642",
"telephone_number": "802-257-0307"
}
],
"practiceLocations": [
{
"address_1": "15 Hapgood St",
"address_purpose": "LOCATION",
"city": "Bellows Falls",
"state": "VT",
"postal_code": "051011507",
"country_code": "US",
"telephone_number": "802-275-8734",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFITHS",
"first_name": "WALTER",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2021-04-17",
"certification_date": "2021-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "VT",
"license": "042-0005283",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "VT",
"license": "042.000528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004538",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.